SURPRISE PEDIATRICS
NPI 1801893425
Legal Medicine in Surprise, AZ

NPI Status: Active since June 29, 2005

Contact Information

14239 W BELL RD
SUITE 112
SURPRISE, AZ
ZIP 85374
Phone: (623) 876-9983
Fax: (623) 876-9984

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  • Organization
  • Legal Medicine
  • CLIA Number: 03D1106218
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-06-2027

About SURPRISE PEDIATRICS

This page provides the complete NPI Profile along with additional information for Surprise Pediatrics, a provider established in Surprise, Arizona operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1801893425 assigned on June 2005. The practitioner's primary taxonomy code is 173000000X with license number 28681 (AZ). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Nicholas Minh Pham Md (Ceo)

NPI
1801893425
Provider Name
SURPRISE PEDIATRICS
Entity Type
Organization
Location Address
14239 W BELL RD SUITE 112 SURPRISE, AZ 85374
Location Phone
(623) 876-9983
Location Fax
(623) 876-9984
Mailing Address
14239 W BELL RD SUITE 112 SURPRISE, AZ 85374
Mailing Phone
(623) 876-9983
Mailing Fax
(623) 876-9984
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2005
Last Update Date
10-21-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
28681
License State
AZ
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICHOLAS MINH PHAM MD

Authorized Official Title
CEO
Authorized Official Phone
(623) 876-9983

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1106218
Facility Type
Physician Office
Certificate Effective Date
October 07, 2025
Certificate Expiration Date
October 06, 2027
Laboratory Director
LISA ENGEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Surprise Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SURPRISE PEDIATRICS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801893425, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 1 + 6 + 9 + 6 + 4 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1801893425.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Family Medicine
14239 W BELL RD, STE 225
SURPRISE, AZ 85374
Dentist
14239 W BELL RD, SUITE 220
SURPRISE, AZ 85374
Dentist
14239 W BELL RD, SUITE 220
SURPRISE, AZ 85374
Dermatology (MOHS-Micrographic Surgery)
14239 W BELL RD, SUITE 101
SURPRISE, AZ 85374
Dermatology
14239 W BELL RD, SUITE 101
SURPRISE, AZ 85374
Dermatology
14239 W BELL RD, SUITE 101
SURPRISE, AZ 85374
Advanced Practice Midwife
14239 W BELL RD, SUITE 210
SURPRISE, AZ 85374
Home Health
14239 W BELL RD, SUITE 219
SURPRISE, AZ 85374
Home Health
14239 W BELL RD, SUITE 219
SURPRISE, AZ 85374
Obstetrics & Gynecology
14239 W BELL RD, STE. 201
SURPRISE, AZ 85374
Pediatrics
14239 W BELL RD, SUITE 112
SURPRISE, AZ 85374
Family Medicine
14239 W BELL RD, STE 225
SURPRISE, AZ 85374
Dermatology (Dermatopathology)
14239 W BELL RD, SUITE 101
SURPRISE, AZ 85374
Pediatrics
14239 W BELL RD, SUITE 112
SURPRISE, AZ 85374
Obstetrics & Gynecology
14239 W BELL RD, STE 200
SURPRISE, AZ 85374
Occupational Therapist
14239 W BELL RD, SUITE 110
SURPRISE, AZ 85374
Durable Medical Equipment & Medical Supplies
14239 W BELL RD, SUITE 110
SURPRISE, AZ 85374
Advanced Practice Midwife
14239 W BELL RD
SURPRISE, AZ 85374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801893425, enumerated as an "organization" on June 29, 2005.

The provider is located at 14239 W BELL RD SUITE 112 SURPRISE, AZ 85374 and the phone number is (623) 876-9983.

Legal Medicine with taxonomy code 173000000X.